Puerperal sepsis
Contents:
Description:
It is process of generalization of an infection which source the infectious center in a uterus is (in 90% of cases).
Symptoms of Puerperal sepsis:
There are two forms of sepsis which meet equal frequency. The first form is a septicaemia. It develops at the weakened women in childbirth on third day after the delivery. The picture of a disease develops violently, the patient has a serious condition with high temperature of a body, repeated oznoba. Consciousness disturbance is observed, there can be euphoria, depression, a sleep disorder. In blood the activator is found. The second form is a septicopyemia. This form proceeds wavy and is characterized by the fact that in an organism there is innidiation of an infection and formation of the new centers which can be in lungs, kidneys and other bodies, at the same time there can be diseases of kidneys.
Diagnosis of puerperal sepsis. The pronounced clinical picture, data of laboratory methods of a research helps with diagnosis (blood test and crops of blood on sterility). It is important to consider that the negative take of crops of blood does not exclude existence of sepsis.
Reasons of Puerperal sepsis:
Favorable conditions for development of this disease are created:
existence of complications during pregnancy, and also a state at which time of a childbed and an anhydrous interval, injuries of patrimonial ways and various complications of childbirth is extended. Everything listed above conducts to the fact that protective potency of an organism decreases and it leads to spread of an infection.
Treatment of Puerperal sepsis:
Such patients should be treated in two directions. It has to be removal of a source of an infection and a complex intensive care which includes the antibacterial, detoksikatsionny, desensibilizing, immunocorrective, fortifying components. If necessary methods of hemosorption and a limfosorbtion can be applied. It is necessary to estimate efficiency of the carried-out therapy within three days. If after this term therapy is unsuccessful, then start an operational method of treatment in the form of removal of a uterus with uterine tubes.
